reconstrucción mamaria

Wagner, R. D; Braun, T. L; Zhu, H; Winocour, S.
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2019-07-01, Volumen 72, Número 7, Páginas 1051-1059

The use of implants for breast reconstruction began over four decades ago, with implants initially placed in the prepectoral space. Concerns arose regarding the high incidence of capsular contracture and complication rates. With the introduction of acellular dermal matrix (ADM), plastic surgeons are again considering the advantages of prepectoral implant placement. A systematic review was conducted to examine complication profiles in prepectoral breast reconstruction alone versus prepectoral with ADM or mesh.

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Suárez Oyhamburú, D; Escobar Ugarte, R.
Cir. plást. iberolatinoam. vol.44, no.2. abr./jun. 2018. pp.169-176

portada - Cirugía Plástica Iberolatinoamericana_mediumDebido al alto costo y a la dificultad de adquisición de las matrices dérmicas acelulares u otros substitutos biológicos en nuestro medio para reforzar el polo inferior del músculo pectoral en reconstrucción mamaria inmediata, diferida o al sustituir el expansor por un implante definitivo, utilizamos matrices dérmicas autólogas (MDA) obtenidas de cicatrices abdominales, cesáreas previas, abdominoplastias o de la mama contralateral, a fin de evitar la extrusión protésica y preservar la marcación del surco submamario.

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Siotos, Ch. et als.
Plastic & Reconstructive Surgery: January 2019 – Volume 143 – Issue 1 – p 39–48

portada - PRS - Vol. 132; No. 2 (2013)Postoperative skin necrosis in surgical patients is costly to hospitals and health care providers. Tumescent dissection technique is commonly used in mastectomy and immediate breast reconstruction, as it helps reduce blood loss; however, it may increase the risk of mastectomy skin flap necrosis. In this context, the authors have conducted a systematic review of the literature to perform a meta-analysis of the relationship between tumescent technique in mastectomy with or without breast reconstruction and complication rates.

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Barnea, Y. et als.
Plastic & Reconstructive SurgeryFebruary 2017 – Volume 139 – Issue 2 – p 348e–357e

portada - PRS - Vol. 132; No. 2 (2013)Patients with a small breast volume and a relative large lumpectomy volume are at risk of developing severe breast deformity and asymmetry following breast conservation, presenting a unique surgical challenge.
A series of patients undergoing immediate reconstruction by means of an oncoplastic breast augmentation technique following breast conservation are described. The technique includes local tissue rearrangement and bilateral subpectoral breast augmentation with implants of different sizes and shapes, immediately after lumpectomy for a malignant tumor.

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